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Benefit Plans Administrative Services 12/26/2018
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Benefit Plans Administrative Services 12/26/2018
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Entry Properties
Last modified
1/17/2019 10:42:27 AM
Creation date
1/17/2019 10:40:55 AM
Metadata
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Template:
Contracts
Contractor's Name
Benefit Plans Administrative Services
Approval Date
12/26/2018
Council Approval Date
12/12/2018
Department
Human Resources
Department Project Manager
Sharon DeHaan
Subject / Project Title
HRA VEBA Account for LEOFF Trust Plan B
Tracking Number
0001615
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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151Pagc <br /> Attachment A—Business Associate Agreement <br /> This HIPAA Business Associate Agreement ("Agreement") supplements and is made a part of the Administrative <br /> Service Agreement ("Service Agreement") by and between BPAS ("Business Associate") and the Parties identified <br /> on the execution page ("Client") acting on behalf of the City of Everett VEBA Plan ("Covered Entity"), and is <br /> effective as of January 1, 2019 (the "Effective Date"). This Agreement supersedes any prior HIPAA business <br /> associate agreement between the parties. <br /> RECITALS <br /> WHEREAS, Business Associate provides third party administration services to employers sponsoring health <br /> reimbursement arrangements; and <br /> WHEREAS, Business Associate has been retained by Client to perform functions or activities that require that <br /> Business Associate have access to Protected Health Information in relation to the Covered Entity; and <br /> WHEREAS, Business Associate and Client desire to amend and restate the Agreement currently in effect in order <br /> to incorporate the changes to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") as set <br /> forth in the final regulations issued by the Department of Health and Human Services on January 25, 2013 <br /> implementing the Health Information Technology for Economic and Clinical Health Act ("HITECH") provisions of <br /> the American Recovery and Reinvestment Act of 2009; and <br /> WHEREAS, the parties agree that Business Associate acts in the capacity of an independent contractor in relation <br /> to the services provided to Client and Covered Entity under the Service Agreement. <br /> NOW, THEREFORE, in consideration of the mutual covenants, terms and conditions herein contained, the parties <br /> hereto agree as follows: <br /> 1. DEFINITIONS. <br /> Terms used but not otherwise defined in the Agreement shall have the same meaning as those terms in the <br /> Privacy Rule and Security Rule. <br /> a. "Breach" shall have the meaning given to it by 45 CFR Section 164.402. <br /> b. "Business Associate" shall mean BPAS, a third party administrator. <br /> c. " Covered Entity" shall mean the City of Everett VEBA Plan Reimbursement Arrangement. The <br /> Board of Trustees of the City of Everett VEBA Plan and Trust serves as plan sponsor of this plan. <br /> d. "De-identified Data" shall have the same meaning as the term "de-identified data" in 45 CFR <br /> Section 164.514. <br /> e. "Designated Record Set" shall mean a group of records maintained by or for a Covered Entity that <br /> is: (i) the medical records and billing records about Individuals maintained by or for a covered <br /> health care provider; (ii) the enrollment, payment, claims adjudication, and case or medical <br /> management record systems maintained by or for a health plan; or (iii) used, in whole or in part, <br /> by or for the Covered Entity to make decisions about Individuals. For purposes of this definition, <br /> the term "record" means any item, collection, or grouping of information that includes Protected <br /> Health Information and is maintained, collected, used, or disseminated by or for a Covered Entity. <br /> VEBA Administrative Service Agreement (405512) <br />
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